Healthcare Provider Details

I. General information

NPI: 1427934801
Provider Name (Legal Business Name): DESTINY L&M CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2025
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4328 COTTINGTON RD
NOTTINGHAM MD
21236-2434
US

IV. Provider business mailing address

4328 COTTINGTON RD
NOTTINGHAM MD
21236-2434
US

V. Phone/Fax

Practice location:
  • Phone: 443-653-7837
  • Fax:
Mailing address:
  • Phone: 443-653-7837
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MARY KABUGA
Title or Position: REGISTERED NURSE
Credential: RN
Phone: 443-653-7837